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Approach to the Febrile Patient in the Intensive Care Unit

  • G. T. Dimopoulos
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Abstract

Fever occurs in approximately one-third of all medical patients during their hospital stay and in more than 90% of critically ill patients with severe sepsis [1]. According to the Society of Critical Care Medicine (SCCM) and the Infectious Diseases Society of America (IDSA), a temperature above 38.3°C (101°F) should be considered as fever necessitating a clinical assessment. The mean body temperature in healthy individuals is 36.8°C (98.2 °F), with a range of 35.6°C (96°F) to 38.2°C (100.8 °F) and a slight diurnal/circadian variation of between 0.5 and 1.0°C [2, 3]. Patients with elevated temperature in the ICU are in a closed monitoring system undergoing accurate and reproducible measurements using a variety of methods (instruments and techniques) at different body sites (Table 1.1) [4].

Keywords

Acute Respiratory Distress Syndrome Ventilator Associate Pneumonia Malignant Hyperthermia Febrile Patient Acalculous Cholecystitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2007

Authors and Affiliations

  • G. T. Dimopoulos
    • 1
  1. 1.Department of Intensive Care, ATTIKO University Hospital, Medical SchoolUniversity of AthensAnixi, Attiki, AthensGreece

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